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:Fri, 21 Mar 2003 14:00:00 -0500

WC Douglass

Bloody good

 

Daily Dose

March 21, 2003

 

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To boost your ticker, cook steak quicker...

 

By now, you've probably heard about homocysteine. I've been

writing about it for nigh on 20 years, and unless you're new

to alternative medicine, you've probably heard a bit about

how it relates to heart disease...

 

But just in case you've haven't, here's a refresher:

Homocysteine is a harmful amino acid your body forms as a by-

product of the digestion of certain foods (like well-done

steak). Increased homocysteine in the bloodstream is

strongly associated with the occurrence of heart disease.

This correlation has been common knowledge in alternative

medicine circles for years.

 

Your body, however, has a built-in defense mechanism against

homocysteine buildup -- it transforms it into a harmless

substance called cystathionine, which is flushed from the

body in the urine. Again, old news.

 

Here's what's new: Recent research conducted in the

Netherlands points to the likelihood that some people are

genetically unable to convert homocysteine at a sufficient

rate, contributing to unsafe levels in the body and

subsequent increased risk of heart disease. This research

also studied the effects of a treatment for homocysteine my

alternative medicine colleagues and I have been recommending

for years: Folic acid. And the results confirmed what I've

known all along: Folic acid supplementation lowers

homocysteine, decreasing the risk of cardiovascular disease.

 

Now, other studies have shown this in the past. But the

Netherlands research took it one step further, concluding

that those people with a genetically reduced capacity to

process homocysteine were ONLY at increased risk for heart

disease when their folic acid levels were low...

 

What that means is this: Even if you're one of those

unfortunate souls whose body is ill-equipped to break down

homocysteine, folic acid supplementation can " even the

playing field " as far as your heart disease risk goes. But

taking folic acid isn't the only thing you can do to reduce

blood homocysteine -- Vitamins B12 and B6 are also critical

for the metabolism of this killer amino acid. Oh, and when

you cook steak, prepare it as rare as you can enjoy it --

because the closer to " well done " it is, the more

homocysteine you'll produce in digesting it...

 

But don't skip the steak altogether -- it's too good for

you! Just be sure to simply replenish your folic acid and B

vitamins regularly and you'll be fine.

 

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Does the right hand know what the left hand's botching?

 

A couple of weeks ago, I read about a University of

Cincinnati College of Medicine survey of US hand surgeons

that revealed an astonishing fact: More than 20% of them

have operated on the wrong site at least once in their

careers -- most often the wrong hand, sometimes the wrong

wrist.

 

To err is human, I know -- but are these guys dyslexic or

something?

 

Medical errors are a big problem -- I write about them all

the time -- but ONE OUT OF FIVE? That's a lot of docs making

mistakes. The study also notes that around 10% of all

medical malpractice claims are filed against orthopedic

surgeons. No wonder their insurance is so high nowadays.

Plaintiffs almost always win lawsuits that involve wrong-

site surgery, as well they should...

 

But never fear -- bureaucrats to the rescue! To combat these

and other preventable errors, the American Academy of

Orthopedic Surgeons in 1998 launched the " Sign Your Site "

campaign -- a movement that encourages surgeons to clearly

mark their initials on the correct site as part of their pre-

operative routine...

 

Sort of like an " X marks the spot " on a treasure map.

 

To this revelation, they've added the suggestion that

surgeons not only verify the proper site -- but also make

sure that they're operating on the right patient before

making any incisions. What a revelation: Make sure you're

cutting up the right site on the right person. Thank God the

AAOS is on the case.

 

But what I wonder is this: Do these kinds of blunders ever

happen when surgeons operate on each other? Are they more

careful when it's their buddy under the knife, rather than

Joe Schmoe? Now that's a study I'd really be interested in

seeing...

 

Taking a bite out of heart disease,

 

William Campbell Douglass II, MD

 

 

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